Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625376
Report Date: 07/27/2016
Date Signed 07/27/2016 10:42:21 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MACDONALD, SONIA FAMILY CHILD CAREFACILITY NUMBER:
376625376
ADMINISTRATOR:SONIA MACDONALDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 746-4071
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY:14CENSUS: 2DATE:
07/27/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Sonia MacDonaldTIME COMPLETED:
10:50 AM
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(2) LPA Angel Richards arrived at the home to conduct an Annual/Random visit. The single story home was toured and inspected to ensure an environment safe for the care and supervision of children. There are no pets in the home. The hours of operation are: 24 hours a day Monday-Friday. Present were the Licensee and 2 day care children.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include the circle time room, living room, dining room, kitchen, bedroom and bathroom. Off limits areas include the master bedroom via a gate, office via a child proof door knob, bathroom and a bedroom via locks. The fireplace is decorative and screened in the living room. The home has a fenced backyard available for outdoor activities. The fire extinguisher and smoke detector meet requirements and are operational. The last disaster drill was conducted on 6/16/16. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water or weapons in the home. A review of the records indicates that all individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee’s First Aid and CPR certifications expire on 5/14/2018. Licensee maintains a current facility roster.

Provider is reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, keep items that read “keep out of reach of children” inaccessible to children in care, post all required forms, ensure that all adults living or working in the home have criminal background clearance/association prior to living or working in the home. LPA reviewed SIDs, SUID’s, and Back to Sleep. Also that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not permitted in the day care.

No deficiencies are cited. NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS. LPA observed the NOS posted.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Mary A RichardsTELEPHONE: 619-767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2016
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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